J Korean Med Sci.  2015 May;30(5):644-650. 10.3346/jkms.2015.30.5.644.

Inpatient Stroke Rehabilitation Outcomes in Korea Derived from the Korean Brain Rehabilitation Centers' Online Database System for the Years 2007 to 2011

Affiliations
  • 1Department of Physical & Rehabilitation Medicine, School of Medicine, Inha University, Incheon, Korea. rmjung@inha.ac.kr
  • 2Department of Physical & Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, Korea.
  • 3Department of Physical & Rehabilitation Medicine, Korea University School of Medicine, Seoul, Korea.
  • 4Department of Physical & Rehabilitation Medicine, Ajou University College of Medicine, Suwon, Korea.
  • 5Department of Physical & Rehabilitation Medicine, The Catholic University of Korea School of Medicine, Seoul, Korea.
  • 6Department of Physical & Rehabilitation Medicine, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 7Department of Physical & Rehabilitation Medicine, University of Ulsan College of Medicine, Seoul, Korea.
  • 8Department of Physical & Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
  • 9Department of Physical & Rehabilitation Medicine, Kyung Hee University College of Medicine, Seoul, Korea.
  • 10Department of Physical & Rehabilitation Medicine, Chonnam National University Medical School, Gwangju, Korea.
  • 11Department of Physical & Rehabilitation Medicine, National Rehabilitation Center, Seoul, Korea.
  • 12Department of Physical & Rehabilitation Medicine, The Catholic University of Korea School of Medicine, St. Vincent's Hospital, Suwon, Korea.

Abstract

The purpose of this report was to provide information for patients receiving inpatient rehabilitation after stroke and to identify the possible factors influencing functional outcome after inpatient rehabilitation. Stroke patients (n = 5,212) who were discharged from the Departments of Rehabilitation Medicine (RM) of university hospitals and rehabilitation hospitals from 2007 through 2011 were participants. Prevalence, age, transfer time after onset, length of stay (LOS), functional status at admission and discharge were analyzed. In all stroke subjects, cerebral infarctions (67%) were more common than hemorrhages. Cerebral infarctions in the middle cerebral artery territory were most common, while the basal ganglia and cerebral cortex were the most common areas for hemorrhagic stroke. The LOS decreased from 45 to 28 days. Transfer time after onset decreased from 44 to 30 days. Shorter transfer time after onset was correlated with better discharge functional status and shorter LOS. Initial functional status was correlated with discharge functional status. In ischemic stroke subtypes, cerebellar and brainstem strokes predicted better outcomes, while strokes with more than one territory predicted poorer outcomes with more disabilities. In hemorrhagic stroke subtypes, initial and discharge functional status was the lowest for cortical hemorrhages and highest for brainstem hemorrhages. This report shows that LOS and transfer time after onset has been decreased over time and initial functional status and shorter transfer after onset are predictors of better functional outcome at discharge.

Keyword

Stroke; Rehabilitation; Outcome; Database; Korea

MeSH Terms

Aged
Aged, 80 and over
*Databases, Factual
Demography
Female
Hemorrhage/complications
Hospitals, University
Humans
Inpatients
Ischemia/complications
Length of Stay
Male
Middle Aged
Rehabilitation Centers
Stroke/etiology/*rehabilitation
Treatment Outcome

Figure

  • Fig. 1 Trends in K-MBI gain and K-MBI efficiency over time.

  • Fig. 2 Trends in transfer time after onset and length of stay over time.


Cited by  1 articles

Stroke Rehabilitation Fact Sheet in Korea
Se Hee Jung
Ann Rehabil Med. 2022;46(1):1-8.    doi: 10.5535/arm.22001.


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